An AI medical scribe for ophthalmology
An eye examination produces a lot of short, per-eye values: acuity, pressure, cup-to-disc ratio, central thickness. Dictated fast in a darkened room, they are easy to swap between right and left. ClearPass transcribes the visit, writes the English note, and marks figures that were not said, so the review focuses on the eye-by-eye data.
What an ophthalmology note must carry
Standard abbreviations such as RE and LE, or OD and OS, come through as said. Choose one convention and use it consistently when you speak.
- Visual acuity for each eye, with and without correction or pinhole, in the notation your clinic uses.
- Intraocular pressure per eye with the method (applanation or rebound) and time.
- Anterior segment: lids, conjunctiva, cornea, anterior chamber cells and flare, lens grade.
- Posterior segment: disc with cup-to-disc ratio, macula, vessels, periphery, and whether the pupil was dilated.
- Imaging: OCT central retinal thickness, fluid, nerve fibre layer; visual field indices.
- Drops with eye, frequency and adherence; systemic conditions such as diabetes and blood pressure.
Example: glaucoma review
A Follow-up note, Concise. Invented patient.
Primary open-angle glaucoma, both eyes. On latanoprost at night, both eyes. Reports using drops most nights; misses about 2 a week. VA: RE 6/9, LE 6/7.5 with glasses. IOP (applanation, 10:40): RE 23 mmHg, LE 18 mmHg. Discs: RE cup-to-disc 0.7, LE 0.6. No haemorrhages. Fields: RE superior arcuate defect, slightly deeper than last visit. LE stable. OCT RNFL: RE inferior thinning, progressing. Plan: add timolol to the right eye, twice daily. Discussed adherence. Review in 3 months with fields and OCT. Selective laser trabeculoplasty discussed as the next option.
Ophthalmology templates
The Ophthalmology group includes templates for glaucoma laser and surgery, cataract surgery, intravitreal injection, diabetic retinopathy, strabismus, lid and oculoplastic problems, corneal disease, uveitis, acute red eye, sudden visual loss, macular degeneration, dry eye, paediatric ophthalmology and amblyopia, neuro-ophthalmology, refractive surgery assessment, watering eye and visual field testing.
Injection sessions and laser suit the Procedure structure, with the eye, agent, dose, lot details you choose to state, and post-procedure checks.
Letters from an eye clinic
Eye clinics write driving and fitness letters, referral letters to retina or oculoplastics, patient instructions for post-operative drops, and reports to the diabetes team. Each is one click from the reviewed note.
Cataract surgery and anti-VEGF injections commonly need approval. See cataract surgery prior authorization for the details a justification should include: acuity, glare, lens grade and functional impact. For refused claims use the denial appeal mode.
Fitting it into a busy eye clinic
Eye clinics often split the visit: a technician measures acuity and pressure, then the ophthalmologist examines. You can type the technician's measurements as a short prompt, or photograph the work-up sheet, and then transcribe the consultation. The note combines both.
Ophthalmology abbreviations come through well when spoken consistently. Say 'right eye' and 'left eye' in full for the key findings if you want to remove any doubt.
What to check before signing off
- Right and left for every value. Read the acuity and pressure lines against your own chart.
- Decimal points: 0.7 versus 0.07, 6/9 versus 6/6.
- Drops: which eye, how often, and whether the drug was started, stopped or continued.
- OCT thickness in microns and whether fluid is intraretinal or subretinal.
- Whether the pupil was dilated, which changes how the fundus findings should be read.
What ClearPass does not do
- It does not replace your judgement. Every note is an AI draft that you review and correct before it is used.
- It is not a medical device and does not make clinical decisions. It is a documentation aid.
- It does not connect to your EMR. The note is copy-ready text that pastes into any system.
Privacy
Clinical note content is not stored on ClearPass servers: it is processed to write the note, then discarded. Consultation audio is transcribed and discarded, never stored. Your note history stays in your browser, on your device, and you choose how long it is kept. Common identifiers are removed from typed and transcribed text before it reaches the AI; that is a best-effort safeguard, so leave names, ID numbers and file numbers out where you can. Processing goes through the AI providers named in our Privacy Policy, which sets out exactly what each one receives and how long it keeps it. ClearPass does not sign HIPAA business associate agreements today.
Questions
Can I dictate findings while at the slit lamp?
Yes. Say the findings aloud as you examine. Speaker separation keeps your dictation apart from the patient's answers.
Can it read OCT or field printouts?
It reads the text on a photographed report, such as thickness values and summary indices. It does not interpret the images themselves.
Does it handle both RE/LE and OD/OS?
It writes the convention you use. Stick to one in each visit to keep the note consistent.
Can it produce a driving fitness letter?
It can draft one under Something else from the visit. Check it against the standard you apply before signing.
What does ClearPass cost?
The 7-day trial is free, needs no card and simply ends after 7 days, with no automatic charge. After that there is one plan: $78 a month or $858 a year, with every visit transcribed.
Try it on your next clinic day
The full product for 7 days, with no card and no automatic charge. Then $78 a month or $858 a year. Pricing details.
Start free — 7 days, no card